Iris Shaw Arrested for TennCare Fraud, 135 Overlapping Hours
Summary
A Memphis woman, Iris Shaw (DOB 12/4/85), has been arrested following a TennCare fraud investigation conducted by the Tennessee Bureau of Investigation Medicaid Fraud Control Division. The investigation, initiated in July 2025 based on a referral from BlueCare Special Investigations Unit, determined that between February 2024 and April 2025, Shaw submitted claims for 135 hours of overlapping caregiver services, constituting a violation of TennCare rules. The case represents an enforcement action by state authorities targeting Medicaid provider fraud.
“During the course of the investigation, agents developed information that between February 2024 and April 2025, Iris Shaw (DOB 12/4/85) submitted 135 hours of overlapping caregiver services, which is a violation of TennCare rules.”
Healthcare providers and caregivers billing Medicaid for in-home or caregiver services should review their documentation practices to ensure service hours do not overlap. The specific allegation here—135 hours of overlapping caregiver service claims over a 15-month period—suggests that Medicaid fraud units are using billing pattern analysis to identify simultaneous service claims. Internal compliance programs should consider controls to flag potential duplicate service entries before claim submission.
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What changed
Iris Shaw was arrested for allegedly submitting fraudulent claims to TennCare for 135 hours of overlapping caregiver services during a 15-month period. The Tennessee Bureau of Investigation's Medicaid Fraud Control Division developed evidence showing Shaw submitted claims for services that occurred during the same time periods, in violation of TennCare rules governing caregiver billing.
Healthcare providers and caregivers participating in TennCare and similar Medicaid programs should be aware that overlapping service claims are a primary detection mechanism for fraud. Providers should ensure their timesheet documentation and service timing records can withstand audit scrutiny, as Medicaid fraud units actively investigate billing patterns that suggest duplicate or simultaneous service claims.
Archived snapshot
Apr 24, 2026GovPing captured this document from the original source. If the source has since changed or been removed, this is the text as it existed at that time.
Memphis Woman Arrested Following TennCare Fraud Investigation
MEMPHIS – An investigation by special agents with the Tennessee Bureau of Investigation Medicaid Fraud Control Division has resulted in the arrest of a Memphis woman.
In July of 2025, TBI received information from the BlueCare Special Investigations Unit, alleging a caregiver had submitted fraudulent claims to TennCare. During the course of the investigation, agents developed information that between February 2024 and April 2025, Iris Shaw (DOB 12/4/85) submitted 135 hours of overlapping caregiver services, which is a violation of TennCare rules.
Action Details
- Date: April 22, 2026
- Agency: State of Tennessee
- Enforcement Types:
- State Enforcement Agencies
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